Related Experiment Video
Updated: Jan 28, 2026
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
12.5K
Management of Acute Ischemic Stroke.
Yunyun Xiong1, Bharti Manwani2, Marc Fisher1
1Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.
The American Journal of Medicine
|March 6, 2019
Summary
Recent advances in acute ischemic stroke treatment, including intravenous thrombolysis and mechanical thrombectomy, show remarkable efficacy for selected patients. Physicians should be aware of these critical updates for stroke care.
Area of Science:
- Neurology
- Cardiovascular Medicine
- Emergency Medicine
Background:
- Acute ischemic stroke requires timely and effective interventions.
- Intravenous thrombolysis and mechanical thrombectomy are key treatment modalities.
- Recent advancements necessitate updated clinical awareness.
Purpose of the Study:
- To review recent clinical trials on intravenous thrombolysis for acute ischemic stroke.
- To present results from early and late time window mechanical thrombectomy trials.
- To highlight the efficacy of these treatments for selected stroke patients.
Main Methods:
- Review of recent clinical trials focusing on intravenous thrombolysis.
- Analysis of data from early and late time window mechanical thrombectomy studies.
- Synthesis of evidence on treatment efficacy and patient selection.
Main Results:
- Recent trials have yielded both positive and negative results for intravenous thrombolysis.
- Mechanical thrombectomy demonstrates significant efficacy in appropriately selected patients across various time windows.
- Evidence supports the effectiveness of advanced stroke interventions.
Conclusions:
- Physicians managing stroke patients must stay informed about the latest treatment guidelines.
- Mechanical thrombectomy is highly effective for selected acute ischemic stroke patients.
- Continued research and awareness of treatment modalities are crucial for improving stroke outcomes.
Related Concept Videos
01:30Acute Pancreatitis II: Clinical Manifestations and Management
834
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
834
01:26Acute Coronary Syndrome V: Nursing Management
316
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
316
01:22Acute Kidney Injury VI: Nursing Management
435
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
435
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
384
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
384
01:27Regulation of Stroke Volume
5.1K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
5.1K
01:17Ischemic Heart Disease: Overview
3.4K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
3.4K